| Elijah John Emmons, | |
|
156 Corliss Ave, Johnson City, NY 13790-2060 | |
| (607) 763-6735 | |
| Not Available |
| Full Name | Elijah John Emmons |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 156 Corliss Ave, Johnson City, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265299457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 818195 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Health Services Hospitals, Inc. | 5193610533 | 402 |
| Entity Name | United Health Services Hospitals, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
| Mailing Address | Practice Location Address |
|---|---|
| Elijah John Emmons, 33 Lewis Rd, Binghamton, NY 13905-1048 Ph: (607) 770-0025 | Elijah John Emmons, 156 Corliss Ave, Johnson City, NY 13790-2060 Ph: (607) 763-6735 |
Tina Torto, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 260 Harry L Dr, Johnson City, NY 13790 Phone: 607-770-1125 | |
Mustafa Ansari, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1108 Anna Maria Dr, Johnson City, NY 13790 Phone: 607-232-0525 | |
Sandra Mary Coughlin, NNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 315-470-7009 Fax: 315-470-2923 | |
Margaret Susan Hacker, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 18 David Dr, Johnson City, NY 13790 Phone: 607-351-0438 | |
Andrea Lynn Cranage, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 355 Riverside Dr, Johnson City, NY 13790 Phone: 607-231-8364 Fax: 607-772-9779 | |
Kathy Hlavacek, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 260 Harry L Dr, Johnson City, NY 13790 Phone: 607-770-1125 |